Provider Demographics
NPI:1912559790
Name:NUNEZ, ELIZABETH (REGISTERED BEHAVIOR)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:REGISTERED BEHAVIOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2799 SE AMHERST STREET
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997
Mailing Address - Country:US
Mailing Address - Phone:772-361-2820
Mailing Address - Fax:
Practice Address - Street 1:9150 SW 21ST DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-7925
Practice Address - Country:US
Practice Address - Phone:772-222-5560
Practice Address - Fax:184-465-2808
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician